Individual
SILVIA C. FORMENTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
525 E 68TH ST, NEW YORK, NY 10065-4870
(212) 746-3600
(212) 746-6635
Mailing address
525 E 68TH ST, NEW YORK, NY 10065-4870
(212) 746-3600
(212) 746-6635
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
212254
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00212254
—
NY
01
—
A400120740
MEDICARE
NY
Enumeration date
08/03/2005
Last updated
04/16/2019
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